Received Oct 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19-2 | COVID19 (COVID19 (MODERNA BIVALENT)) | MODERNA | UNK | 3052579 | IM / LA |
Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Additional Details: Approximately 15 minutes after vaccination, child was looking at items in aisle and appeared to start shaking and loose balance. Child had to sit on floor to regain balance and then mother picked her up and sat with child in a chair.. Child became pale and right arm continued to shake. Child was also breathing rapidly, but never lost consciousness and never bumped her head. Paramedics responded and checked vitals. Spoke to family after incident and mother says child was behaving normally., Other Vaccines: VaccineTypeBrand: Flu (Fluarix); Manufacturer: GSK; LotNumber: 7E74J; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
Unknown